License holder summary

TARA RAE DETERS is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for TARA RAE DETERS is New Baltimore, MI 48047. This licensed professional license is current. The license was granted 07/19/2005 and expired on 08/31/2016.

Michigan

Department of Licensing and Regulation

TARA RAE DETERS
Physician's Assistant - Physician Assistant
License number
5601004579
Date granted
07/19/2005
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
New Baltimore, MI 48047
michiganlicensing.org
ID 25991611
LAST UPDATED 2026-06-04 08:21:30 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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